Organization
PROJECT PLAY ABA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE BROOKE JACOME MA, LPA, BCBA (PSYCHOLOGIST)
(919) 801-8805
Entity
Organization
Contact information
Practice address
222 GLENWOOD AVE, APT 603, RALEIGH, NC 27603-1479
(919) 801-8805
Mailing address
222 GLENWOOD AVE, APT 603, RALEIGH, NC 27603-1479
(919) 801-8805
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
3564
NC
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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